Validation of an Instrument for Real-Time Assessment of Neonatal Intubation Skills: A Randomized Controlled Simulation Study.

摘要: Objective This study aimed to evaluate the construct validity and reliability of real-time assessment a previously developed neonatal intubation scoring instrument (NISI). Study Design We performed randomized controlled simulation at simulation-based research training facility. Twenty-four clinicians experienced in (“experts”) 11 medical students (“novices”) two identical elective intubations on patient simulator. Subjects were randomly assigned either intervention group, receiving predefined feedback between intubations, or control no feedback. Using NISI, all assessed, both real time remotely video. Construct was evaluated by (1) comparing performances, expressed as percentage scores, with without feedback, (2) correlating performances subjects' level experience. The intrarater reliability, intraclass correlation coefficient (ICC), compared video-based determined. Results The group contained 18 subjects, 17. Background characteristics baseline scores comparable groups. median (IQR) change first second significantly different (11.6% [4.7–22.8%] vs. 1.4% [0.0–5.7%], respectively; p = 0.013). 95% CI for this 10.2% difference 2.2 21.4%. experience correlated their (Spearman's R = 0.70; p Conclusion Our NISI has is reliable assessment. Key Points